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Individual

MR. MATTHUGH BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
125767
WV
367500000X
Certified Registered Nurse Anesthetist
26NJ00824500
NJ
367500000X
Certified Registered Nurse Anesthetist
R212706
MD

Other

Enumeration date
12/11/2014
Last updated
04/23/2026
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